Shoulder calcifications and arthroscopic removal

Calcific tendinitis of the shoulder is a process involving crystal calcium deposition in the rotator cuff tendons, which mainly affects patients between 30-50 years of age. The etiology is still matter of dispute. The diagnosis is made by history and physical examination with specific attention to radiologic and sonographic evidence of calcific deposits. Patients usually describe specific radiation of the pain to the lateral proximal forearm, with tenderness even by rest and during the night. Nonoperative treatment including rest, nonsteroidal anti-inflammatory drugs, subacromial corticosteroid injections and shock wave therapy is still the treatment of choice. When nonsurgical measures fail, surgical removal of the calcific depot may be indicated. Arthroscopic treatment provides excellent results in more than 90% of patients. Only two small incisions are necessary for this kind of calcific tendinitis treatment. The deposits of hydroxyapatite are located and removed. Possible calcific residue is washed away. More information


Picture: X-ray right shoulder: subacromial calcifications


Picture: arthroscopic view: removal of subacromial calcifications

The procedure will be performed ambulatory. Due to the arthroscopic gentle kind of operation most patients are able to go home  the day of their surgery.  Following the procedure you will stay in a hotel with daily consultations in our outpatient clinic and then begin a training programm that has been carefully coordinated with the healing process.  To ensure an optimal healing process, patients are required to wear a splint for approximately 2-3 weeks.